Online Application

We welcome the opportunity to provide you a quote on your leasing needs. Please complete this lease application form and either submit it to us or print it and fax it to 1-856-795-8040.

Open up the sample lease agreement (PDF format) and review it.

Lessee (Complete Legal Name of Entity):
 Address (1):
 City:  State:  Zip:
 Phone:  Fax:

 Nature of Business:

 Years in Business:
Contact Person:
 Name:  Title:
 Phone: Fax:
Equipment  Information:

Equipment Description:
 Total Equipment Cost ($):
 Lease Term Requested
End of Term Option:
  Click here for Lease Calculator
For more than $100,000 quote, please call 888-838-6100
Vendor Information:
Vendor Contact:
Vendor Phone:
Bank References:
       Bank Name  City  Street  Phone No.  Type Acct.  Acct.  No.  Contact
Trade or Finance References (to be completed if less than 2 years old):
    Ref.  Name  City  Street  Phone No.  Type Acct.  Acct.  No.  Contact
Credit Information Release
I/We understand that I/We may submit my application to Fleetwood Industries electronically by clicking "Submit Application" below, or I/We may submit the application by fax or mail. I/We authorize you to make such inquiries regarding the information furnished herein as may be required in connection with the application or in the course of review of any credit extended in reliance on the application. All information set forth in this application is a truthful and accurate representation of facts for the purpose of obtaining the lease financing requested by me/us. If I/We choose to submit this application electronically, I/We acknowledge that Fleetwood Industries is unable to ensure that the data cannot be intercepted by third parties. In submitting this application electronically I/We knowingly and voluntarily agree that Fleetwood Industries will not be held liable in any manner whatsoever should such interception occur. I/we understand that other financial information may be requested in connection with this lease application.

Yes     No

Thank you for your interest.
204 Barclay Pavilion - West
Cherry Hill, NJ 08034
Phone: 1-888-353-3860
Fax: 1-856-795-8040
FLEETWOOD INDUSTRIES - Powerful Leasing Solutions     (888) 838-6100